RN Case, Disease Manager - 5,000 Sign on bonus -Telecommute, TX

Company: UnitedHealth Group
Location: Sherman
Posted on: November 22, 2021

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
As a Field-Based Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live.
You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.
If you are located in Sherman, Denison, Tyler, TX you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices
Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
Support members with condition education, medication reviews and connections to resources
Completes all initial and annual service planning activities and verifies, authorizes, coordinates and monitors services
Ensure LTSS and clinical programs are in place according to members wants and needs to include functional, medical, behavioral, and social needs
Support members desires to live in the least restrictive setting as possible
Assist members with the transition from a care facility back to their home

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Current, unrestricted RN license in the State of TX
RUG certification or the ability to obtain within 30 days of employment
4+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or case management environment ,with the ability to quickly identify needs and issues
1+ years of Medicaid, Medicare, Managed Care experience in long-term care, Long Term Services and Supports, home health, hospice, behavioral, public health, or assisted living
Intermediate Microsoft Office experience working with Microsoft Word, Excel, and Outlook (ability to create, edit, save and send documents, spreadsheets and emails)
Ability to travel in assigned region to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices
High speed internet in residence
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all -federal, state -and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to -employment to ensure compliance
Preferred Qualifications:
Experience in case management and/or certification in case management (CCM)
Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
Experience in Home & Community based or Long-Term Care Services delivery
Home care/field based clinical experience
Understanding of Waiver benefits and service plan
Bilingual skills
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State . Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $25.63 to $45.72. The salary range for Connecticut / Nevada residents is $28.27 to $50.29. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: RN Case, Disease Manager, Telecommute, Telecommuter, Telecommuting, Work from Home, Remote, WAH, Sherman, Denison, Tyler, TX, Texas

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